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To:San-L Johnson Page 2 of 2 d 40400-09-30 22:19:32(GMT) 72038 From:Ed MacDaniel <br /> DATE RECEIVED �� EHD LOG <br /> SAN �®AC�UIN COUNTYNUMBER <br /> MD BOMB ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 '2P <br /> 5 �' Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/5hd6 <br /> E VIRNIJ.1_1 'rICES H PUBLIC RECORDS RELEASE APPLICATION <br /> pE�,i��l�T/�r�`�fiC�S <br /> APPLICANT: ED MACDANIEL BUSINESS/AGENCY:GRS GROUP <br /> ADDRESS: 3210 GOUGH STREET#105 CITY/STATE/ZIP:SAN FRANCISCO,CA 94123 <br /> PHONE(1): 415-240-3205 PHONE(2): _ __ FACSIMILE:415-707-2038 <br /> TENTATIVE*APPOINTMENT DAT_. _ �) Time: <br /> (Please allow 10 business days from date of appiicaEicr :.s rniYtzI-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-y'i" i'."- i i c:It .t!=C;K,F��J/JLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT y DATE .913012010 <br /> Electronic Information: ❑ List❑ Map :Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1. 5023 N.MARKET ST LINDEN 1-17,9d <br /> 2. 18978 E.ST RT 26 LINDEN <br /> 3. 18351 E.MAIN ST LINDEN <br /> 4. 16401 E.ST RT 26 LINDEN Unit 3 <br /> 5. 18754 E ST RT 26 LINDEN <br /> 6. 19783 ST RT 26 LINDEN Unit 4 <br /> 7. 4950 BONHAM STREET LINDEN- <br /> 8. EL RANCHO ROCK AND SAND LINDEN <br /> ADDRESS? ❑ Unit 5 <br /> 9. <br /> 10. <br /> nit 6 <br /> Specific Date Range of,Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT SOLID WASTE FACILIfYIVEHiCLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ®WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDIC HEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ®OTHER(PLEASE SPECIFY) WELLS(WATER&MONITORING)&SEPTIC <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses, contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$122 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48.06 07/29/10 <br />